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PERMITTEE NAME/ADORERS (TM16 FacWryNar/Locallm l/DIO n,I) <br />NAME 3ENnCA COgL COnPA;rY <br />ADDRESS D R A ii E R D <br />HAYDEN <br />CU 81639 <br />FACILITY <br />LocAnoNHAYDEh CU 81630 <br />AT'T;;: G. 5UD BhUNN, GEnh:SAL iANAGL•'R <br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SYSTEM /NPDESI <br />DISCHARGE MONfiORING REPORT lOMRI <br />!1- l el 17-191 <br />CUDU(1U221 C11 A <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 70 u'+ TO 7 7 . U <br />l10~111 I11-131 114751 !1617) !IB-191 136311 <br />Form Approved. ' <br />F " • ~ C ~ D v 5 Cr iI 'COMB;Nox2040-0004 {j <br />) ~ rr p P n b.) ApprovellaLpi yij05-31-98 <br />F - FIAAL ,~ <br />1!I90A <br />¢~¢ NO D.ISCNARGE ~ _) r+?•= <br />NOTE: Reed inetruct(oro before comDlatinp this form. <br />PARAMETER l3 Ord OnlYl QUANTITY OR LOADING. II Grd Onhl QUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE <br /> I<6531 I566I1 ~,r. !3B-<51 I4653 I5L511 DF <br />l31-371 EX MALr514 TYPE <br /> AVERAGE MAXIMUM '~U~ NITS <br />~. MINIMUM AVERAGE MAXIMUM UNITS Iez-rrl I5q-5g1 !63701 <br />kK SAMPLE <br />MEASUREMENT .:{-'~:=F3 .(c{c#dk 4` ~- <br />~_2Z IIta>'i T,c •'. C' <br />~• al ( I,2 <br />) <br />O <br />I/7 <br />Z~$ <br /> <br />U04JU 1 U U PERMIT ~f~•.z>:t;:;: als=s:F;~. •'.+.;;+ 6,§.. aau:aa>1 5.0 tF,LSLY CNSITI' <br />oFFLUENP GkOSS VALUI REQUIREMENT ra{:a y:I.ail!!0!! MAxiMU,! SU <br />SUL US, TUTAL <br />SUSPi;MUe:il SAMPLE <br />MEASUREMENT %r{-R{~.' .:::: {::;: ;: ¢¢,~y;¢ ~ C/ <br />Q ~ ~ ( 1E)) r\ <br />(f / J <br />~E <br /> <br />UUSJD 1 U 0 PERMIT i<^{<r,EnO :t ~; ¢~r,: r, 0~}; ('yy#¢.¢ ~_~ 7U 1 1bCI;/ ~AAE <br />EFFLUENT GROSS VALUI REQUIREMENT #{~;;i: 30CA AVG C9ILY !(Y YL:/L `!06TH <br />]ULl S, :i CTTLEA BLE SAMPLE <br />MEASUREMENT 'tea'k;; ;~?+~:'s{:« aa¢¢¢! L <br />~ D <br />( /O•t <br />` I ( 5) <br />O ' <br />~ J <br />G.,.~ <br /> ~ <br />UUS45 L 0 U PERMIT n-F+.+.:.:4: :Flirt,"-'6Y = ;1{::~ r7=3.:71xilY~.. P.EFCHT R°FGRT I )NCE/ TRAP <br />EFFLUENT ~kOSS YALU' REQUIREMENT ~Y4a 30.>flA AYG I?d7IX nx RL/L ROT72N <br />L KUN, fU'lA <br />AS FE SAMPLE <br />MEASUREMENT ~:F:~{~a #{:.^. r~a~ ¢x¢:p~y <br />~ <br />6Z <br />O <br />~~ <br />( 1~) <br />(, <br />I~ I <br />( <br />) . . (] ~~wb <br />O1U45 1 0 0 .PERMIT 4r=~~~+~* . f:~a..{ra z ~.-, ':aoa+Fs+ a0 <br />r 6,0 ~ INCF:/ :RAb <br />EFFLUENT Gk055 VRLU REQUIREMENT aark ?BE3 F.YG I;AICY nx RG/L nDNT:1 <br />U L Alf ~iHEASE SAMPLE a'••rk a'++~+% a'`nack, C~ a¢oaa¢ .,. y+¢a.,ea 1 ( lcj~ <br /> <br />MEASUREMENT ~ <br />f~ D <br />~ <br />-^ <br /> / <br />` <br />03582 1 0 0 PERMIT i:k.~a°:=;' .~•:=a{:;^• ~; a0': ay¢i* ~~ ¢CA•:a~% 10 ~ I 'O11TIK ~4AA <br />EFFLUENT GROSS YALUF REQUIREMENT aaa{: IM39 CAY ~G/L GEN2 <br />f LJe, LK I:UNUU 17' Uit <br />ThRU TkcA'LnEYT PLAN7 SAMPLE <br />MEASUREMEN7 LI <br />D• III O` ~ <br />~ 1~- ( D3) h9.\;DA CdX:I f:a a.~}4,-a /~ <br />(J //~ ~5 <br /> <br />SOU50 1 0 0 PERMIT R'r:PURT REPDkT a aaraa a¢~*¢a. :F:;;rj',X: e ::Flia acEKLY CNSTAN <br />EFFLUENT GROSS YALUF REQUIREMENT JOUR AYG DAILY nx nGD #{:aa <br />]U LL U], '1'U AL SAMPLE 4`\c 'c'•"^~^ -+~'A-`^~°~ rt ¢OC?¢¢ q ~\ ` 19) /l ~ <br /> <br />U ISSULV EU <br />MEASUREMENT <br />36~ <br />3 l V <br />V l, <br />3V <br />Ve~ <br />7U29S 1 0 U PERMIT cccF~cY.'`'•. F:F:kF-:.: '`=•^.• {c 4•-+F,a {'FTICNAL REFURT 1 1 .itLY :RAp <br />EFFLUENT GROSS YALUF REQUIREMENT ~a.'a C5TF AYI; CAIIY CC !!G/L <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENN.TY OF L <br />MILIM WITH THE INFO AW THAT I NAVE PERSONALLY E%AMINED MD <br />RMATO <br />TTED <br />S <br />B <br />E <br />E TELEPHONE DATE <br /> <br /> <br />Q h'~\.r ~\/a.~ N <br />U <br />MI <br />H <br />R <br />IN; MD BASED ON <br />MY INQUIRY OF TNOSE INDIVIDUN.S IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS ~ ~ <br /> <br /> <br />~ TRUE. ACCUMTE MD COMPLETE. 1 AM AWME THAT THERE ME <br />SIGNIFICMT PENALTIES FOR SUBMITTING FN <br />SE INFORMATION <br />INCLUDING <br />•' <br />~ <br />l1 `f 1~yC~ <br />G <br />}y <br />( <br />7 <br />~ <br />V J O W . <br />. <br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 18 U.S.C. E 1001 MD S] BIONATURE OF PRI <br />I E <br />U a 16Sw I 1 K / <br />, <br />`~ 1 ^1 <br /> U.S.C. E 101 e. lMWWa vW dwr anwwa mar hc/I.da law. w a 110,000 N <br />PAL EXECUTNE AREA <br />TYPED OR PRINTED ana ormvirwn >npdmrwnr of 6rrw,n rmmdw rNey,rAl OFFlCER OR AUT ORIZED AGENT CODE NUMBER YEAR MO DAY <br />LUMMCIYIJ AMU CAILNIYXIIVN VP ANT VIVLA IIVNS IMI/I/BOCI a//IRlCnmen (S nele/ <br />TSB i, INUM LInI."S WILL ii 6' bAIY~'L` ANJ SSTTL::A3LE SCCIDS LI"IT A=FLIFC FC5 <=?OYF,24HR PRECIP FYENT; TSS E <br />IR09 LIFIITS MAIVEU FU!: >lUYH,24,yR PnECIP 8Y3)i'T SU9JECT PO F!Ckf.Eb Cf FFCf.f IN I./.2. OIL E GREASE-S1:E <br />T.i4~l, D. Ti1C F11lN TTfI ^. Tnl:-Svc T•N-1 -T:. <br />EPA Form 3320.1 IDB-961 Previous adlDOne mey be used. IREPLACEB EPA FORM T-0O WHICH MAY NOT BE UfiED.I PAGE OF <br />00139/97]4 1513 1 <br />